Ankle-Foot Orthosis

ABSTRACT

An inventive ankle-foot orthosis which transfers a portion of a wearer&#39;s weight normally applied to a wearer&#39;s foot and ankle to a wearer&#39;s calf thereby removing weight bearing stress from the wearer&#39;s foot and ankle.

This United States Non-Provisional Patent Application is a continuationof U.S. Design patent application Ser. No. 29/468,465, filed Sep. 30,2013, which is a continuation of U.S. Design patent application Ser. No.29/448,501, filed Mar. 12, 2013, each hereby incorporated by referenceherein.

I. FIELD OF THE INVENTION

An inventive ankle-foot orthosis which transfers a portion of a wearer'sweight normally applied to a wearer's foot and ankle to a wearer's calfthereby removing weight bearing stress from the wearer's foot and ankle.

II. BACKGROUND OF THE INVENTION

Many people and diabetics in particular develop sores or ulcers on thesoles of their feet. To heal, they must either stay off their feetaltogether or use a pressure relieving orthosis. Conventional suspensionwalkers provide a cuff member configured to lace to the wearer's calf.Upright brace members coupled in fixed unmoving relation to a hard outerboot shell extend upwardly to secure to the cuff member secured to thewearer's calf. A discrete soft boot encloses the wearer's foot which isthen nested within the hard, outer boot shell.

III. SUMMARY OF THE INVENTION

A primary object of particular embodiments of the invention can be toprovide an ankle-foot orthosis having an upper secured to an insole in acombination having a configuration adapted to receive a wearer's footand a stirrup including a stirrup base connected between a pair ofstirrup side pieces with the stirrup base coupled below the insole todispose the stirrup in fixed relation to the combination with the pairof stirrup side pieces each upwardly extending to positions adjacenteach side of the combination which correspondingly couple to a pairbrace members. The wearer's weight supported by the cuff member securedto the pair of braces is correspondingly transferred to the stirrup basedisposed below the insole, thereby avoiding any substantial transfer offorces from the stirrup or other components of the assembled ortosis tothe combination. This structural relationship avoids the use of aconventional rigid outer boot shell to which conventional braces attachand the use of a discrete soft boot which is received within the rigidouter boot shell to receive the wearer's foot.

Another object of particular embodiments of the invention can be tofurther comprising a pair of joint elements which correspondingly couplethe pair of stirrup side pieces and the pair of brace members allowingrotation of the pair of brace members about an axis extending throughthe pair of stirrup side pieces allowing corresponding dorsiflexion andplantarflexion of said wear's foot within the combination during use ofthe ankle-foot orthosis.

Another object of particular embodiments of the invention can be toavoid securing the cuff member to the wearer's calf by the use of lacesby configuring the cuff member to dispose a pair of cuff edges disposedin opposed relation a distance apart and by providing a plurality ofstraps which act on the cuff member to reduce said distance between saidpair of cuff edges to secure said cuff member about said wearer's calf

Another object of particular embodiments of the invention can be toterminate the topline of the combination in opposed relation a distanceapart over the dorsum of the wearer's foot leaving the wearer's forefootuncovered to avoid enclosing the wearer's foot within a closed toe boot.

Naturally, further objects of the invention are disclosed throughoutother areas of the specification, drawings, photographs, and claims.

IV. BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 is a perspective view of a particular embodiment of an inventiveankle-foot orthosis which transfers a portion of a wearer's weightnormally applied to a wearer's foot and ankle to a wearer's calf.

FIG. 2 is an exploded view of the particular embodiment of theankle-foot orthosis shown in FIG. 1.

FIG. 3 is a perspective view of a particular embodiment of an inventiveankle-foot orthosis.

FIG. 4 is a front end view of a particular embodiment of an inventiveankle-foot orthosis.

FIG. 5 is a rear end view of a particular embodiment of an inventiveankle-foot orthosis.

FIG. 6 is a medial side view of a particular embodiment of an inventiveankle-foot orthosis.

FIG. 7 is a lateral side view of a particular embodiment of an inventiveankle-foot orthosis.

FIG. 8 is top view of a particular embodiment of an inventive ankle-footorthosis.

FIG. 9 is a bottom view of a particular embodiment of an inventiveankle-foot orthosis.

FIG. 10 is an illustration of a step in fitting a wearer to a particularembodiment of the inventive ankle-foot orthosis in which a cuff membersecures to the wearer's calf and the wearer's foot is received within acombination of an upper secured to an insole to engage one or morefitting pads position within the combination.

FIG. 11 is an illustration of a step in fitting a wearer to a particularembodiment of the inventive ankle-foot orthosis in which the cuff memberis positioned in relation to a pair of brace members extending upwardlyto positions adjacent each side of the wearer's calf.

FIG. 12 is an illustration of a step in fitting a wearer to a particularembodiment of the inventive ankle-foot orthosis in which the cuff memberis secured to the pair of brace members and the one or more fitting padsare removed from the combination.

FIG. 13 is an illustration of a step in fitting a wearer to a particularembodiment of the inventive ankle-foot orthosis in which a portion ofthe wearer's weight normally applied to a wearer's foot and ankle istransferred to the wearer's calf to suspend the wearer's foot or in partremove weight bearing stress from the wearer's foot and ankle.

V. DETAILED DESCRIPTION OF THE INVENTION

Generally referring to FIGS. 1 through 13, an inventive ankle-footorthosis (1) (also referred to as the “orthosis”) is shown having aconfiguration which transfers a portion of a wearer's weight (2)normally applied to a wearer's foot (3) and ankle (4) to a wearer's calf(5) thereby removing weight bearing stress from the wearer's foot (3)and ankle (4).

Now referring primarily to FIGS. 1 through 9, particular embodiments ofthe orthosis (1) can include an upper (6) secured to an insole (7) in acombination (8) having a configuration adapted to receive a wearer'sfoot (3) (as shown in the example of FIG. 1). The insole (7) can have aninsole thickness (9) disposed between an insole inner face (10) and aninsole outer face (11). A stirrup (12) including a stirrup base (13)connected between a pair of stirrup side pieces (14) (15) can be coupledbelow the insole outer face (11) to dispose the stirrup (12) in fixedrelation to the combination (8) with the pair of stirrup side pieces(14) (15) each upwardly extending to positions adjacent each of themedial side (16) and the lateral side (17) (also referred to as “sides”)of the combination (8) (as shown in the example of FIGS. 1 and 2). Thepair of stirrup side pieces (14) (15) can correspondingly terminate in apair of stirrup ends (18) (19) (as shown in the example of FIG. 2). Apair of brace members (20) (21) each having a brace length (22) disposedbetween a brace member first end (23) and a brace member second end (24)can be correspondingly coupled by brace member first ends (23) to thepair of stirrup ends (18) (19) to dispose the pair of brace members (20)(21) adjacent corresponding sides of the combination (8) with the pairof brace members (20) (21) extending upwardly to positions adjacent eachside of the wearer's calf (5) (as shown in the examples of FIGS. 1 and2). A cuff member (25) can be removably secured to the pair of bracemembers (20) (21) (as shown in the examples of FIGS. 1 and 2). The cuffmember (25) has a cuff internal surface (26) configured to engage thewearer's calf (5). The cuff member (25) engaged to the wearer's calf (5)and secured to the pair of brace members (20) (21) can transfer aportion of the wearer's weight (2) normally applied to the wearer's foot(3) to the wearer's calf (5). The wearer's weight (2) supported by thecuff member (25) secured to the pair of braces (20) (21) andcorrespondingly transferred to the stirrup (12) disposed below theinsole (7) avoids any substantial transfer of forces from the stirrup(12) (or other components of the assembled orthosis (1)) to thecombination (8). This structural relationship avoids the use of aconventional rigid outer boot shell to which conventional braces attachand the use of a discrete soft boot which is received within the rigidouter boot shell as described for example by U.S. Pat. No. 6,976,972.

Again referring primarily to FIG. 2, the insole (7) for the purposes ofthis invention can be made from a substantially flat sheet material suchas fiber board, press paper board, plastic, leather, or the like, havingan insole periphery (27) which defines the area of the insole upper face(10) and about which the upper (6) secures. The upper (6) can be madefrom a numerous and wide variety of materials compatible with the methodof securing the upper (6) about the insole periphery (27) and retainingthe wearer's foot (3) within the combination (8). As shown in theexample of FIG. 2, the upper (6) extends upward from the insole (7) andcan have a configuration to wrap around the wearer's heel (28) and ankle(4) terminating in an topline (28) disposed in opposed relation adistance apart over the dorsum (29) of the wearer's foot (3) leaving thewearer's forefoot (31) uncovered as shown in the example of FIG. 1.

Again referring primarily to FIG. 2, particular embodiments can furtherinclude a main pad (30) which can be disposed over the insole (7) in theupper (6). The main pad (30) can comprise one or more layers (31) ofcompressible material which can cushion engagement of the wearer's foot(3) with the insole (7). With respect to the main pad (30) shown in theFigures, a first layer of compressible material (32) can overlay theinsole (7). A second layer of compressible material (33) having greaterfirmness can be, but is not necessarily, coupled to the first layer ofcompressible material (32). The main pad (30) can further include anantimicrobial layer (34) coupled to either of the first layer ofcompressible material (32) or the second layer of compressible material(33) depending upon the embodiment. The antimicrobial layer (34) can butis not necessarily a silver metal fiber woven directly into the materialto produce a fabric such as X-STATIC® available from Noble Biomaterials,Inc.

Again referring primarily to FIG. 2, particular embodiments can furtherinclude one or more fitting pads (35) which removably overlay the mainpad (30) to assist in fitting the orthosis (1). The one or more fittingpads (35) can be made as thick or thin as needed to fit the orthosis (1)to transfer a greater or lesser portion of the wearer's weight (2) tothe wearer's calf (5). As to particular embodiments, a first fitting pad(36) can be laid over the main pad (30) and a second fitting pad (37)(or any additional number of them) can be placed atop the first fittingpad (36). As one illustrative example, the first fitting pad (36) can beone-half inch thick and the second fitting pad (37) can be one-quarterinch thick. The first and second fitting pads (36) (37) can be usedindividually to provide discrete one-half inch or discrete one-quarterinch adjustments between the insole inner face (10) and the sole (38) ofthe wearer's foot (3) or the first fitting pad (36) can overlay thesecond fitting pads (37) to provide an adjustment of three-quarters inchbetween the insole inner face (10) and the sole (38) of the wearer'sfoot (3). Adjustment of the distance between the sole (38) of the wear'sfoot (3) and the insole inner face (10) correspondingly positions thecuff member (25) for securement to the pair of brace members (20) (21).By use of one or more fitting pads (35), as above described, the cuffmember (25) can be adjustably positioned along the brace length (22) ofthe pair of brace members (20) (21) as precisely as necessary to fit theorthosis (1). As to particular embodiments, the cuff member (25) can bepositioned at virtually any desired location vertically along each ofthe pair of brace members (20) (21) within the overlapping limits of amateable hook (39) and loop fasteners (40) correspondingly coupled tothe cuff member (24) and each of the pair of brace members (20) (21).Also, while mateable hook and loop fasteners (39) (40) are shown in theFigures; this is not intended to limit the invention solely to the useof mateable hook and loop fasteners (39) (40). but rather any otherreleasable securing fasteners can be used in embodiments of theinvention.

Again referring primarily to FIGS. 1 through 9, the orthosis (1) canfurther include a pair of dorsum flaps (41) (42) each having a flapfirst portion (43) releasably securable at a position adjacentcorresponding sides (16) (17) of the upper (6). The pair of dorsum flaps(41) (42) can each have a flap second portion (44) configured toreleasably secure in overlaid relation over the dorsum (29) of thewearer's foot (3) received within the combination (8). As to particularembodiments, the flap first portions (43) of the pair of dorsum flaps(41) (42) adjustably position adjacent corresponding sides (16) (17) ofthe upper (6) to accommodate greater or lesser size of the wearer's foot(3) and ankle (4). As one example, mateable portions of hook and loopfasteners (39) (40) correspondingly coupled to the sides (16) (17) ofthe upper (6) and the flap first portions (43) can allow adjustablepositioning of the flap first portions (43) with respect to the sides(16) (17) of the upper (6). Similarly, the flap second portions (44) caninclude mateable portions of hook and loop fasteners (39) (40) whichreleasably secure the second portions (44) in overlaid relation over thedorsum (29) of said wearer's foot (3) received within the combination(8).

Now referring primarily to FIG. 2, particular embodiments can, but notnecessarily include, a midsole (45) secured between the insole (7) andthe stirrup base (13). The midsole (45) can be secured to the insole (7)by adhesive, stitching or other suitable securement elements. Mechanicalfasteners (72) such as rivets can extend through the insole (7) and themidsole (45) and the stirrup base (13) to couple the stirrup base (13)adjacent the midsole (45) to dispose the stirrup side pieces (14) (15)on the corresponding medial side (16) and lateral side (17) of thecombination (8), as above described.

Again referring primarily to FIG. 2, embodiments of the invention canfurther include an outsole (46) secured to the insole (7) or the midsole(45), depending upon the embodiment, overlaying the stirrup base (13). Astirrup base recess (47) can be disposed in an outsole upper face (48)of the outsole (46). The stirrup base recess (47) can be configured toallow the stirrup base (13) to be disposed at a level flush or below thelevel of the outsole upper face (48) allowing the outsole upper face(48) to be secured to the insole (7) or the midsole (45) unobstructed bythe thickness of the stirrup base (13). The outsole (46) can be madefrom one or more layers. The outsole (46) can be secured to the insole(7) or the midsole (45) by adhesive, stitching, mechanical fasteners, orother suitable securement means. The insole (7), midsole (45) and theoutsole (46) can be made from natural materials such as leather ornatural rubber, or from synthetic materials such as styrene butadienerubber, nitrile-butdiene rubber, polyvinyl chloride, polyurethane,neoprene, polyether, polyester, or the like, or combinations thereof,whether as a solid material or as a foam, thermofoam, closed cell foam,or layers or combinations thereof. Portions of the outsole outer face(49) can be configured to curve toward the insole (7) approaching theoutsole heel (50) or to the outsole toe (51) (as shown in the examplesof FIGS. 6 and 7).

Again referring primarily to FIGS. 1 and 2, particular embodiments ofthe orthosis (1) can further include a pair of joint elements (52) (53)which correspondingly couple to the pair of stirrup ends (18) (19) andthe brace first member ends (23). The pair of joint elements (52) (53)can rotationally couple the pair of stirrup ends (18) (19) to thecorresponding brace first member ends (23) allowing movement of the pairof brace members (20) (21) about an axis (54) which extends through thepair of stirrup ends (18) (19) (as shown in the example of FIG. 2). Asto particular embodiments, the pair of joint elements allow or can beadjusted to allow movement of the pair of braces (20) (21) from thesubstantially vertical position (as shown for example in FIG. 2) onlytoward the outsole toe (51), or only toward the outsole heel (50), or inboth directions. As to particular embodiments, pair of joint elements(52) (53) can each be adjusted to limit the range of movement of overpre-determined angle of rotation bout the axis (54) to allow acorresponding pre-determined amount of dorsiflexion or plantarflexion ofthe wearer's foot (3) within the combination (8).

Again referring primarily to FIGS. 1 through 9, as to particularembodiments, the cuff member (25) releasably secures to the pair ofbrace members (20) (21) which allows the cuff member (25) to beadjustably positioned along the brace length (22) of each of said pairof brace members (20) (21). As to the particular embodiments, the pairof brace members (20) (21) and said cuff member (25) further includemateable portions of hook and loop fasteners (39) (40) which releasablysecure the cuff member (25) to the pair of brace members (20) (21). Thecuff member (25) has an cuff internal surface (26) configured toreleasably secure about the wearer's calf (5), as above described, todispose a pair of cuff edges (55) (56) in opposed relation a distance(57) apart over the wearer's shin (58). A plurality of straps (59)operate to act on the cuff member (25) to reduce the distance (57)between the pair of cuff edges (55) (56) to secure the cuff member (25)about the wearer's calf (5). As to particular embodiments, a tongue (64)configured to engage the wearer's shin (58) can underlay the pair ofcuff edges (55) (56) which can be drawn over the surface of the tongue(64). As to the embodiment shown in the Figures, a plurality of pairs ofannular members (60) can be corresponding secured to the pair of cuffedges (55) (56) along the height (61) of the cuff member (25). Eachstrap first end (62) can be secured to a first one of each of the pairsof annular members (60). Each strap second end (63) can pass through thesecond one of the pair of annular members (60) and each of the pluralityof straps (59) drawn upon itself to reduce the distance (57) between thecuff edges (55) (56) and engage the cuff member (25) with the wearer'scalf (5). Each of the plurality of straps (59) can be wrapped about thecuff member (25) with at least one overlaying the pair of braces (20)(21). Each strap second end (62) can releasably fasten to maintain thereduced distance (57) between opposed cuff edges (55) (56) andengagement of the cuff member (25) with the wearer's calf (5). As to theembodiment shown in the Figures, each of the plurality of straps (59)provides a loop material (39) and each second end (62) provides hookfasteners (40). Upon wrapping each of the plurality of straps (59) aboutthe cuff member (25) the hook fasteners (40) can be releasably securedto the loop material (39) to secure the cuff member (25) to the wearer'scalf (5).

Now referring primarily to FIGS. 10-13, which illustrate a particularmethod of fitting an orthosis (1) to transfer a portion of a wearer'sweight (2) normally applied to a wearer's foot (3) to a wearer's calf(5). Transferring a portion a wearer's weight (2) normally applied to awearer's foot (3) to a wearer's calf (5) removes weight bearing stressfrom the wearer's foot (3) and ankle (4). Embodiments of the methodinclude providing an orthosis (1) in a form above described, securingthe cuff member (25) about the wearer's calf (5), and placing thewearer's foot (3) in the combination (8), and securing the cuff member(25) to each of said pair of brace members (20) (21) at a position whichtransfers the portion of the wearer's weight (2) normally applied to thewearer's foot (3) to the wearer's calf (5), thereby removing weightbearing stress from the wearer's foot (3) and ankle (4).

The cuff member (25) can be secured about the wearer's calf (5) (orsocked calf as shown in the example of FIG. 10) by wrapping at least oneof said plurality of straps (59) about the cuff member (25). The tongue(64) can be disposed over the wearer's shin (58) underling the pair ofcuff edges (55) (56) of the cuff member (25). One or more of theplurality of straps (59) can act on the cuff member (25) to sufficientlyreduce the distance (57) between the pair of cuff edges (55) (56) tosecure the cuff member (25) about the wearer's calf (5) (as shown in theexample of FIG. 10). With flap second portions (44) opened the wearer'sfoot (3) can be received in the combination (8) atop the one or morefitting pads (35). As to particular embodiments, each of the pair ofbrace members (20) (21) can be inserted in a tubular cover (68) (orother barrier element) to act as a barrier to the engagement of thepairs of hook and loop fasteners (39) (40) coupled respectively on thebrace inside surfaces (65) (66) of the pair of brace members (20) (21)and the cuff member external surface (67) (as shown in the example ofFIG. 10). Consequently, the cuff member (25) can be slidly engagedbetween the pair brace members (20) (21) to allow the wearer's foot (3)to be received within the combination (8) atop the one or more fittingpads (35) (as shown by the example of FIG. 11). With the cuff member(25) positioned in relation to the pair of brace members (20) (21), thea flap second portions (44) of the pair of dorsum flaps (41) (42) can bereleasably secured in overlaid relation over the dorsum (29) of thewearer's foot (3) received in the combination (8). The plurality ofstraps (59) can be further drawn about the cuff member (25) to reducethe distance (57) between the pair of cuff edges (55) (56) to secure thecuff member (25) about the wearer's calf (5) and by wrapping at leastone of the plurality of strap members (59) about the pair of bracemembers (20) (21) the cuff member (25) can be secured in fixed relationto the pair of brace members (20) (21) (as shown by the example of FIG.11). With the cuff member (25) adjacent to the vertically extending,upright pair of brace members (20) (21), the tubular cover (68) (orother barrier element) acting as a barrier to the securement of thepairs of hook and loop fasteners (39) (40) can be removed (as shown inthe example of FIG. 12) to secure the hook and loop fasteners (39) (40)securing the cuff member (25) to the pair of brace members (20) (21).Subsequently, the one or more fitting pads (35) can be removed (as shownin the example of FIG. 12). The wearer's foot (3) can now be suspendedin relation to the insole (7) or the main pad (30) or at least a portionof the wearer's weight (2) normally applied to the wearer's foot (3) istransferred to and borne by the wearer's calf (5) by engagement with thecuff member (25) secured to the pair of brace members (20) (21).

As to particular embodiments, the pair of joint elements (52) (53)correspondingly coupled between said pair of stirrup ends (18) (19) andthe pair of brace members (20) (21) can be adjusted to provide a rangeof movement (69) of the pair of brace members (20) (21) in relation tothe combination (8), whether movement from a generally vertical position(70) only toward the outsole toe (51) (or toward the toe of thecombination (8)), or from a generally vertical position (70) only towardthe outsole heel (50) (or toward the heel of the combination (8)), orthroughout a pre-adjusted fixed angle of movement (71). The range ofmovement (69) can be selected by adjustment of the pair of jointelements (52) (53) to allow a pre-determined amount of dorsiflexion andplantarflexion of the wearer's foot (3) (as shown in the example of FIG.13).

Consequently, the wearer's foot (3) does not bear the normal wearer'sweight (2) and the dorsiflexion and plantarflexion of the wearer's foot(3) can be restricted to a pre-adjusted fixed angle of movement (71)useful in treatment of the wearer's foot (3) and ankle (4). The portionof the wearer's weight (2) transferred to the wearer's calf (5) during anormal stride with the other foot off the ground could be virtually anypercentage, but preferably is in the range of about 10% to about 75% andmore preferably in the range of about 40% to about 60%. In most cases,the higher the percentage of weight transferred the better including upto 100%. As to particular applications, the wear's foot (3) or heel (asshown in the example of FIG. 13) can be spaced or suspended above themain pad (30), for example about one-quarter inch to about one-halfinch.

As can be easily understood from the foregoing, the basic concepts ofthe present invention may be embodied in a variety of ways. Theinvention involves numerous and varied embodiments of a reciprocallytelescoping door stop and methods for making and using such door stopsincluding the best mode.

As such, the particular embodiments or elements of the inventiondisclosed by the description or shown in the figures or tablesaccompanying this application are not intended to be limiting, butrather exemplary of the numerous and varied embodiments genericallyencompassed by the invention or equivalents encompassed with respect toany particular element thereof. In addition, the specific description ofa single embodiment or element of the invention may not explicitlydescribe all embodiments or elements possible; many alternatives areimplicitly disclosed by the description and figures.

It should be understood that each element of an apparatus or each stepof a method may be described by an apparatus term or method term. Suchterms can be substituted where desired to make explicit the implicitlybroad coverage to which this invention is entitled. As but one example,it should be understood that all steps of a method may be disclosed asan action, a means for taking that action, or as an element which causesthat action. Similarly, each element of an apparatus may be disclosed asthe physical element or the action which that physical elementfacilitates. As but one example, the disclosure of a “brace” should beunderstood to encompass disclosure of the act of “bracing”—whetherexplicitly discussed or not— and, conversely, were there effectivelydisclosure of the act of “bracing”, such a disclosure should beunderstood to encompass disclosure of a “brace” and even a “means forbracing.” Such alternative terms for each element or step are to beunderstood to be explicitly included in the description.

In addition, as to each term used it should be understood that unlessits utilization in this application is inconsistent with suchinterpretation, common dictionary definitions should be understood toincluded in the description for each term as contained in the RandomHouse Webster's Unabridged Dictionary, second edition, each definitionhereby incorporated by reference.

All numeric values herein are assumed to be modified by the term“about”, whether or not explicitly indicated. For the purposes of thepresent invention, ranges may be expressed as from “about” oneparticular value to “about” another particular value. When such a rangeis expressed, another embodiment includes from the one particular valueto the other particular value. The recitation of numerical ranges byendpoints includes all the numeric values subsumed within that range. Anumerical range of one to five includes for example the numeric values1, 1.5, 2, 2.75, 3, 3.80, 4, 5, and so forth. It will be furtherunderstood that the endpoints of each of the ranges are significant bothin relation to the other endpoint, and independently of the otherendpoint. When a value is expressed as an approximation by use of theantecedent “about,” it will be understood that the particular valueforms another embodiment. The term “about” generally refers to a rangeof numeric values that one of skill in the art would consider equivalentto the recited numeric value or having the same function or result.Similarly, the antecedent “substantially” means largely, but not wholly,the same form, manner or degree and the particular element will have arange of configurations as a wearer of ordinary skill in the art wouldconsider as having the same function or result. When a particularelement is expressed as an approximation by use of the antecedent“substantially,” it will be understood that the particular element formsanother embodiment.

Moreover, for the purposes of the present invention, the term “a” or“an” entity refers to one or more of that entity unless otherwiselimited. As such, the terms “a” or “an”, “one or more” and “at leastone” can be used interchangeably herein.

Thus, the applicant(s) should be understood to claim at least: i) eachof the ortosis herein disclosed and described, ii) the related methodsdisclosed and described, iii) similar, equivalent, and even implicitvariations of each of these devices and methods, iv) those alternativeembodiments which accomplish each of the functions shown, disclosed, ordescribed, v) those alternative designs and methods which accomplisheach of the functions shown as are implicit to accomplish that which isdisclosed and described, vi) each feature, component, and step shown asseparate and independent inventions, vii) the applications enhanced bythe various systems or components disclosed, viii) the resultingproducts produced by such systems or components, ix) methods andapparatuses substantially as described hereinbefore and with referenceto any of the accompanying examples, x) the various combinations andpermutations of each of the previous elements disclosed.

The background section of this patent application provides a statementof the field of endeavor to which the invention pertains. This sectionmay also incorporate or contain paraphrasing of certain United Statespatents, patent applications, publications, or subject matter of theclaimed invention useful in relating information, problems, or concernsabout the state of technology to which the invention is drawn toward. Itis not intended that any United States patent, patent application,publication, statement or other information cited or incorporated hereinbe interpreted, construed or deemed to be admitted as prior art withrespect to the invention.

The claims set forth in this specification, if any, are herebyincorporated by reference as part of this description of the invention,and the applicant expressly reserves the right to use all of or aportion of such incorporated content of such claims as additionaldescription to support any of or all of the claims or any element orcomponent thereof, and the applicant further expressly reserves theright to move any portion of or all of the incorporated content of suchclaims or any element or component thereof from the description into theclaims or vice-versa as necessary to define the matter for whichprotection is sought by this application or by any subsequentapplication or continuation, division, or continuation-in-partapplication thereof, or to obtain any benefit of, reduction in feespursuant to, or to comply with the patent laws, rules, or regulations ofany country or treaty, and such content incorporated by reference shallsurvive during the entire pendency of this application including anysubsequent continuation, division, or continuation-in-part applicationthereof or any reissue or extension thereon.

Additionally, the claims set forth in this specification, if any, arefurther intended to describe the metes and bounds of a limited number ofthe preferred embodiments of the invention and are not to be construedas the broadest embodiment of the invention or a complete listing ofembodiments of the invention that may be claimed. The applicant does notwaive any right to develop further claims based upon the description setforth above as a part of any continuation, division, orcontinuation-in-part, or similar application.

1-21. (canceled)
 22. A method of fitting an orthosis to transfer aportion of a wearer's weight normally applied to a wearer's foot to awearer's calf to thereby remove weight bearing stress from said wearer'sfoot and ankle, comprising: providing an orthosis, including: an uppersecured to an insole in a combination configured to receive a wearer'sfoot; a stirrup including a stirrup base connected between a pair ofstirrup side pieces, said stirrup base coupled to said insole to disposesaid stirrup in fixed relation to said combination with said pair ofstirrup side pieces each upwardly extending to positions adjacent eachside of said combination, said pair of stirrup side piecescorrespondingly terminating in a pair of stirrup ends; a pair bracemembers each having a length disposed between a brace member first endand a brace member second end, said brace member first endscorrespondingly coupled to said pair of stirrup ends, said pair of bracemembers configured to extend upwardly to positions adjacent each side ofsaid wearer's calf; and a cuff member securable about said wearer's calfand securable to said pair of brace members; and securing said cuffmember about said wearer's calf; placing said wearer's foot in saidcombination; and securing said cuff member to each of said pair of bracemembers at a position which transfers said portion of said wearer'sweight normally applied to said wearer's foot to said wearer's calf,thereby removing weight bearing stress from said wearer's foot andankle.
 23. The method of fitting an orthosis of claim 22, whereinproviding an orthosis further includes an outsole secured to saidinsole, said outsole overlaying said stirrup base.
 24. The method offitting an orthosis of claim 23, wherein providing an orthosis furtherincludes a midsole disposed between said insole and said outsole, saidmidsole having a thickness disposed between substantially flat midsolefirst face and a midsole second face, said midsole having a stirrup baserecess disposed in said first midsole face to receive said stirrup base.25. The method of fitting an orthosis of claim 22, wherein providing anorthosis further includes a pair of dorsum flaps each having a flapfirst portion releasably securable at a position adjacent correspondingsides of said upper, said pair of dorsum flaps each having a flap secondportion configured to releasably secure in overlaid relation over adorsum of said wearer's foot within said combination, and furthercomprising securing said pair of dorsum flaps in overlaid relation overa dorsum of said wearer's foot within said combination.
 26. The methodof fitting an orthosis of claim 25, wherein each of said first portionsof said pair of dorsum flaps adjustably position adjacent correspondingsides of said upper, and further comprising positionally adjusting saidfirst portions of said pair of dorsum flaps adjacent corresponding sidesof said upper.
 27. The method of fitting an orthosis of claim 26,wherein providing an orthosis further includes an upper material whichreleasably secures hook fasteners mounted to said first portions of saidpair dorsum flaps.
 28. The method of fitting an orthosis of claim 27,wherein said flap second portions further include mateable portions ofhook and loop fasteners which releasably secure said second portions inoverlaid relation over said dorsum of said wearer's foot received withinsaid combination and further comprising mating portions of said hook andloop fasteners of said second portions of said flap second portions inoverlaid relation over a dorsum of said wearer's foot within saidcombination.
 29. The method of fitting an orthosis of claim 22, whereinproviding an orthosis further includes a pair of joint elementscorrespondingly coupled between said pair of stirrup ends and said pairof brace members, wherein each of said pair of joint elements pivotallycouple said pair of stirrup ends to said pair of brace members to allowrotation of said pair of brace members about a pivot axis extendingthrough said pair of stirrup ends to allow dorsiflexion andplantarflexion of said wearer's foot, and further comprising generatingdorsiflexion and plantarflexion of said wearer's foot placed within saidcombination by rotation of said pair of brace members about said pivotaxis.
 30. The method of fitting an orthosis of claim 22, whereinsecuring said cuff member to each of said pair of brace members furthercomprises releasably securing said cuff member to said brace memberswith pairs of mating hook and loop fasteners respectively mounted tosaid cuff member and said pair of brace members.
 31. The method offitting an orthosis of claim 30, further comprising vertically adjustingsaid cuff member in relation to said pair of braces to determine saidposition which transfers said portion of said wearer's weight normallyapplied to said wearer's foot to said wearer's calf prior to securingsaid cuff member to each of said pair of brace members.
 32. The methodof fitting an orthosis of claim 31, wherein providing an orthosisfurther includes providing a main pad which removably overlays saidinsole, and wherein placing said wearer's foot in said combinationfurther comprises engaging said wearer's foot with said main pad priorto securing said cuff member to each of said pair of brace members. 33.The method of fitting an orthosis of claim 32, wherein providing anorthosis further includes providing a fitting pad which removablyoverlays said main pad, and wherein placing said wearer's foot in saidcombination further comprises engaging said wearer's foot with saidfitting pad prior to securing said cuff member to each of said pair ofbrace members.
 34. The method of fitting an orthosis of claim 33,further comprising removing said fitting pad subsequent to securing saidcuff member to each of said pair of brace members.
 35. The method offitting an orthosis of claim 22, wherein providing an orthosis furtherincludes: configuring said cuff member to dispose a pair of cuff edgesdisposed in opposed relation a distance apart; and providing a pluralityof straps which act on said cuff member to reduce said distance betweensaid pair of cuff edges to secure said cuff member about said wearer'scalf.
 36. The method of fitting an orthosis of claim 35, furthercomprising wrapping at least one of said plurality of strap membersabout said brace members secured to the cuff member.
 37. The method offitting an orthosis of claim 22, further comprising transferring about10% to about 75% of said wearer's weight normally applied to saidwearer's foot to said wearer's calf.
 38. The method of fitting anorthosis of claim 37, further comprising transferring about 40% to about60% of said wearer's weight normally applied to said wearer's foot tosaid wearer's calf.